Interesting Case - Emory University School of Medicine · Interesting Case Miguel G. Echevarria, MD Emory MSK Radiology • 66 year old female with history of multiple foot surgeries

Interesting CaseMiguel G. Echevarria, MD

Emory MSK Radiology

• 66 year old female with history of multiple foot surgeries presenting with lateral foot pain.

* Not the actual patient

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwiHrqCX_-3VAhXF5CYKHcNtCQsQjRwIBw&url=http://www.sciencedirect.com/science/article/pii/S0929644113000027&psig=AFQjCNFBrHc1wB_0rH3Ij_2OqpaGiJ9BZQ&ust=1503599593828366


SSVSN













Sural Nerve

• Sensory nerve in the calf region (sura) of the leg.

https://functionalanatomyseminars.files.wordpress.com

Sural Nerve

http://www.bats.ac.nz/detail-foot_and_ankle_surgery-2

https://noijam.com/2017/05/10/the-sural-nerve-the-appendix-of-the-nervous-system/

https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwif66W7_u3VAhWBUiYKHe2YDpMQjRwIBw&url=https://noijam.com/2017/05/10/the-sural-nerve-the-appendix-of-the-nervous-system/&psig=AFQjCNFRxTTA8ji0xdOq0UKYc9qIXPlryg&ust=1503599410521199

https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwif66W7_u3VAhWBUiYKHe2YDpMQjRwIBw&url=https://noijam.com/2017/05/10/the-sural-nerve-the-appendix-of-the-nervous-system/&psig=AFQjCNFRxTTA8ji0xdOq0UKYc9qIXPlryg&ust=1503599410521199

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjv3MDI_u3VAhWI6yYKHc-ZCSIQjRwIBw&url=http://www.bats.ac.nz/detail-foot_and_ankle_surgery-2&psig=AFQjCNFRxTTA8ji0xdOq0UKYc9qIXPlryg&ust=1503599410521199

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjv3MDI_u3VAhWI6yYKHc-ZCSIQjRwIBw&url=http://www.bats.ac.nz/detail-foot_and_ankle_surgery-2&psig=AFQjCNFRxTTA8ji0xdOq0UKYc9qIXPlryg&ust=1503599410521199

Sural Nerve

• May be susceptible to mechanical impingement or entrapment, injured secondary to trauma (fibular fracture) or iatrogenic.

• Burning, numbness, or aching at the posterolateral leg.

• Nerve block• Determine site of entrapment• Cause of patients pain

• Conservative treatment• Physical therapy • Corticosteroid injection

• Surgical resection, neurolysis

https://functionalanatomyseminars.files.wordpress.com

Local Anesthetics

Corticosteroids

The Pharmacological Basis of Therapeutics

References• Ultrasound-Guided Peripheral Nerve Injection Techniques, O. Kenechi Nwawka and Theodore T. Miller

American Journal of Roentgenology 2016 207:3, 507-516

Documents

Interesting Case - Emory University School of Medicine · Interesting Case Miguel G. Echevarria, MD Emory MSK Radiology • 66 year old female with history of multiple foot surgeries